| NAME |
WELLSBORO VA CLINIC |
| STATE |
PENNSYLVANIA |
| STREET ADDR. 1 |
1888 SHUMWAY HILL RD |
| CITY |
WELLSBORO |
| ZIP |
16901-6840 |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
WELLSBORO VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2014-10-01 00:00:00
- STATUS: ACTIVE
- NPI: 1568860161
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
528QF |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 1873 SHUMWAY HILL RD
- CITY (CHANGED FROM): WELLSBORO
- STATE (CHANGED FROM): PENNSYLVANIA
- ZIP (CHANGED FROM): 16901-6840
|
